Individual provider Active NPI

Robin Kucharik, FNP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1720627789
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013352 Issued in CA
Practice address
5001 Pacific Coast Hwy
Torrance, CA 90505-5441
Phone
(424) 455-2274
NPI assigned
Dec 22, 2019
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013352 CA Primary

Addresses

Primary practice location

5001 Pacific Coast Hwy
Torrance, CA 90505-5441

Mailing address

5001 Pacific Coast Hwy
Torrance, CA 90505-5441
Phone (424) 455-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003017 CA Practitioner - Nurse Practitioner 1658754403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Urgent Care LLCGroup PAC ID 8921475575, 4 clinicians
Peninsula Primary CareGroup PAC ID 3072973007, 5 clinicians

Practice addresses (Care Compare)

5001 Pacific Coast Hwy
Torrance, CA 90505-5441
Phone (424) 455-2273

5003 Pacific Coast Hwy
Torrance, CA 90505-5441
Phone (877) 782-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013352CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Primary Care CurrentSince Dec 2, 2023 Accepting new patients
Peninsula Urgent Care LLC CurrentSince Dec 1, 2023 Accepting new patients
BMJC Medical Group Inc CurrentSince Oct 20, 2024 Accepting new patients

Locations

46E Peninsula Ctr
Rolling Hills Estates, CA 90274
Phone (310) 977-4309

23365 Hawthorne Blvd
Ste 104
Torrance, CA 90505
Phone (310) 927-6484

5001 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 994-9903

5003 Pacific Coast Hwy
Torrance, CA 90505
Phone (877) 782-0300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1720627789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055441",
            "telephone_number": "424-455-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055441",
            "telephone_number": "424-455-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARIK",
        "first_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-22",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.